The presence of scars
Certain injuries or inflammation of the skin, such as acne, insect bites or burns, can leave scars. These scars can become white over time:
Lack of melanin in the scar: during an injury, melanocytes can be damaged and no longer produce melanin, the pigment responsible for skin colour. Without melanin, the skin of the scar appears lighter than the rest of the skin.
Slow regeneration of melanocytes: during the healing process, melanocytes can regenerate slowly, temporarily discolouring the affected area.
Dermatological conditions
Certain dermatological conditions can lead to skin depigmentation, such as psoriasis and vitiligo.
Vitiligo: vitiligo is a chronic skin disease characterised by the appearance of white patches due to depigmentation of the skin on different parts of the body. This phenomenon is caused by the progressive disappearance of melanocytes, the cells that produce the skin pigment melanin. This destruction leads to depigmented areas on the skin, visible as white patches. Vitiligo is often multifactorial in origin, with genetic, immune and environmental factors involved. Stress or psychological shock can trigger the onset or worsen the symptoms, although the exact cause is still poorly understood.
Psoriasis: although psoriasis does not generally cause depigmentation like vitiligo, it can leave marks on the skin, sometimes in the form of lighter patches.
The presence of a fungus: in some cases, white patches on the face and body are caused by a fungal infection. Among the fungi most commonly involved is Malassezia furfur. This fungus grows and spreads in the most humid areas of our anatomy (armpits, back of the knees, chest, etc.). It causes scaly patches that are easier to see in summer, when the surrounding skin begins to tan.
Why do I get white spots when I tan?
Skin spots and the sun are often linked. This applies to brown spots as well as white spots. Here are the main situations in which you may see them.
Peeling skin: this is a natural phenomenon on tanned or sunburned skin. It means that the top layer of your epidermis is being renewed. This new layer is lighter than the one that tanned under the sun's rays. An uneven coat can therefore give the impression of small white patches on the body.
Dartre (achromia) : this skin condition causes small, rough patches that gradually turn from red to white. This discolouration normally disappears on its own, although it may take a long time. It seems to appear more during the summer months.
Idiopathic hypomelanosis in drops: this results in small whitish macules on areas exposed to UV light. These white spots most often develop on the arms and legs. They essentially reflect the ageing of your skin.
Actinic porokeratosis, resulting in grey-white to brown patches.